胆结石(Pittashmari)草药管理的潜力-一个案例研究

Q4 Pharmacology, Toxicology and Pharmaceutics Journal of Natural Remedies Pub Date : 2023-10-27 DOI:10.18311/jnr/2023/33482
Ashwini Dhananjay Sonalkar, Jayshree V. Changade, Dipa Ashok Jain
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引用次数: 0

摘要

在印度,胆石症(胆结石)现在是首要问题。一些患者只有一个胆结石,而另一些患者同时有多个胆结石。它可以像高尔夫球一样大,也可以像一粒沙子一样小。胆结石的危险因素包括中年、不稳定的饮食模式、长期禁食和代谢综合征。通常需要手术治疗,如切除整个胆囊(胆囊切除术)。在阿育吠陀,它不是直接发短信。有一个关于ashmari(尿路结石)的描述,所以考虑到胆石症的症状和病理,它可以与pittashmari相关联,因为根据阿育吠陀经典,这个部位是为Accha pitta提供的。Pittashamri病理生理包括kapha-pitta病变和Vayu marga(路径)阻塞。男,40岁,主诉上腹疼痛,腹胀,胸部不适,便秘6个月。病人一直在服用现代药物。但病人的症状只是暂时缓解。所以,病人来到门诊接受阿育吠陀治疗。经超声检查,诊断为胆石症,由于病人负担不起,单纯用草药治疗。选择了胆药Pittarechaka (cholagogue)、yakruta-pleehaghna、ashmarighna和具有胆药特性的药物,如kokilaksha、haritaki、bhumyamalaki和rohitakarishta。在15天内,患者的症状明显改善。采用数值评定量表(NRS)对腹痛进行评定。三个月内胆结石体积减小,一年后超声检查完全正常,如下所述。
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The Potential of Herbal Management in Gallstone (Pittashmari) – A Case Study
In India, cholelithiasis (gallstones) is now the leading problem. Some patients have a single gallstone, while others develop multiple gallstones at the same time. It could be as big as a golf ball or as small as a grain of sand. The risk factors for gallstones include middle age, inconsistent eating patterns, extended fasting, and metabolic syndrome. Surgical treatment is usually required, such as the removal of the entire gall bladder (cholecystectomy). In Ayurveda, it is not texted directly. There is a description of ashmari (urinary calculi), so by considering the symptoms and pathology of cholelithiasis, it can be correlated with pittashmari, as that site was given for Accha pitta according to the Ayurvedic classics. Pittashamri pathophysiology includes kapha-pitta vitiation and an obstructed Vayu marga (path). A 40-year-old male patient complained of pain in the upper abdomen along with bloating, chest discomfort, and constipation for the past 6 months. The patient had been taking modern medications. But patient experienced only temporary relief of symptoms. So, the patient came to the OPD for Ayurvedic treatment. Investigating with ultrasound, the patient was diagnosed with cholelithiasis and treated purely with herbal drugs as the patient was unaffordable. Pittarechaka (cholagogue), yakruta-pleehaghna, ashmarighna, and drugs with choleretic properties, such as kokilaksha, haritaki, bhumyamalaki, and rohitakarishta, were chosen. Within 15 days, the patient’s symptoms had significantly improved. The Numerical Rating Scale (NRS) was used to assess abdominal pain. A reduction in the size of the gallstone was seen within three months, and a completely normal ultrasound after one year, as discussed here.
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来源期刊
Journal of Natural Remedies
Journal of Natural Remedies Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
0.40
自引率
0.00%
发文量
27
期刊介绍: Nature can provide all the remedies, for all. All substances produced by nature can be recognized; all cells talk the same language as we all are from the same mother cell. Journal of Natural Remedies is devoted toward the understandings of all remedies from nature. Journal of Natural Remedies publishes original articles related to utilisation of any natural source for remedy including bioactive natural products. Studies related to the resources, chemistry (including analytical), biological activity, biotechnology and pharmacology (including toxicology) of archaea, bacteria, protistas, fungi, plants, animals, viruses and minerals fall within the journal’s scope.
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